Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

“…Surgical repair is also indicated when the right coronary artery arises from the opposite sinus or courses between the aorta and pulmonary artery in association with concomitant symptoms, or when there is evidence of otherwise unexplained inducible ischemia in these territories. 469,470 When the patient has an anomalous right coronary artery and no evidence of ischemia, management is more controversial. A conservative approach in this situation may be reasonable.…”

Long-Term Outcome and Impact of Surgery on Adults With Coronary Arteries Originating From the Opposite Coronary Cusp

“…The most worrisome aspect of this particular coronary malformation, however, is its unpredictable nature, and this has led some to recommend a surgical intervention in nearly all patients. 44 According to autopsy reviews and small clinical studies, ALCA-R is generally considered to have greater malignant potential than ARCA-L. 45 When ARCA-L is identified, most authors endorse surgical intervention only in symptomatic patients, 21,46 -48 although some believe that the lesion alone is a strong enough indication for surgery. 49 These same groups generally take a more aggressive approach to ALCA-R, although a focus remains on demonstrating ischemia.…”

Koroner Arterlerin Anormal Orijinleri ve Ani Ölüm Bir Olgu Işığında Sol Ana Koroner Arterin Anormal Orijini

“…Koroner arterlerin farkl› aortik sinüsten anormal olarak kaynakland›¤› olgular nadir, ancak ölümcül potansiyele sahip do¤umsal anomalilerdir (6). Sol ana koroner arter, sa¤ sinüsten ç›k›fl›n›n ard›ndan 4 farkl› yol ile anterior sulkusa ulaflmaktad›r.…”